| Entity Name: | MIDWIFE HOPE TERRELL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jan 2018 (7 years ago) |
| Document Number: | L18000021193 |
| Address: | 4714 BIRKENHEAD ROAD, JACKSONVILLE, FL, 32210 |
| Mail Address: | 4714 BIRKENHEAD ROAD, JACKSONVILLE, FL, 32210 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578061438 | 2018-01-25 | 2018-01-25 | 4714 BIRKENHEAD RD, JACKSONVILLE, FL, 322104138, US | 4714 BIRKENHEAD RD, JACKSONVILLE, FL, 322104138, US | |||||||||||||||||||
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| Phone | +1 904-450-3697 |
| Fax | 9043399011 |
Authorized person
| Name | DAFFINI HOPE TERRELL |
| Role | OWNER |
| Phone | 9044762999 |
Taxonomy
| Taxonomy Code | 176B00000X - Midwife |
| License Number | 210 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TERRELL DAFFINI H | Agent | 4714 BIRKENHEAD ROAD, JACKSONVILLE, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| TERRELL DAFFINI H | Authorized Representative | 4714 BIRKENHEAD ROAD, JACKSONVILLE, FL, 32210 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2018-01-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
